Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
BERGEN, WILLIAM STEVEN
|
|
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
|
| Practice Address: |
6085 ANELLO DRIVE
MELBOURNE FL 32940
Address last updated on 2/19/2015 |
| Phone #: |
(404) 579-4579 |
| Fax #: |
(321) 241-4459 |
| County: |
NOT OKLAHOMA |
| License: |
29943 |
| Dated: |
7/1/2013 |
| Expires: |
7/1/2015 |
|
Temp.
Lic.
Issued:
|
6/14/2013 |
|
Temp.
Lic.
Expires:
|
7/13/2013 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Emory Univ Sch Of Med, Atlanta GA 30322 |
| Graduated: |
5 /
1986 |
| CME Year: |
2016 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF SURGERY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
Aetna HMO
CIGNA HMO
Great West Healthcare
SoonerCare HMO
Texas Medicaid |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
